4Gems Adult Foster Care
Cost data not yet available
Assisted Living, Nursing Homes · Medicare certified
13794 21 Mile Road · Shelby Township, MI 48315 · Lic. #AH500315083 (MI) · 40 certified beds
REGULAR · Verify on official state lookup (opens in a new tab)
NPI 1083968853. Look this up in the CMS NPPES registry (opens in a new tab)
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Shelby Crossing Health Campus is an assisted living community in Shelby Township, Michigan. Its reported capacity is 40 beds. The MI licensing record reads "REGULAR" for this listing. It is recorded as a for-profit operator, part of Trilogy Health Services. Federal records list it as Medicare certified. Our copy of the inspection record holds 7 citations, the newest dated 26 March 2025. No fine or payment denial is on record against it. Staffing reports put it at 4.54 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated September 2026.
CMS Care Compare · Source data August 2026
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
2
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
2
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
2
Records from February 2024 to March 2025.
March 26, 2025 · D
Citation F0761Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 15, 2024 · D
Citation F0655Federal surveyors cited this nursing home on 2024-02-15 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-03-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 15, 2024 · D
Citation F0919Federal surveyors cited this nursing home on 2024-02-15 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2024-03-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 15, 2024 · D
Citation F0686Federal surveyors cited this nursing home on 2024-02-15 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-03-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 15, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-02-15 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-03-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 15, 2024 · F
Citation F0880Federal surveyors cited this nursing home on 2024-02-15 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-03-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $0
Latest: 4.54 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.14 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Individual or partnership licensee (Michigan LARA)
CMS Care Compare chain: Trilogy Health Services
Chain ID 524 · 123 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Trilogy Opco LLC
parent · PAC 4789985847
Private equity company (CMS PECOS disclosure)
PE/REIT labels appear only when CMS structured disclosure columns are Y. never inferred from names.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 2, 2026Ownership changed
The source now records ownership as "Individual or partnership licensee (Michigan LARA)".
Reported by Michigan LARA
Sep 2, 2026Listed capacity changed
Listed capacity changed from 57 to 40 beds.
Reported by Michigan LARA
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Listed capacity changed
Listed capacity changed from 40 to 57 beds.
Reported by CMS nursing homes (provider info)
Aug 10, 2026Listed capacity changed
Listed capacity changed from 57 to 40 beds.
Reported by Michigan LARA
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MI range for the care type(s) it offers. Use it as context, not a quote.
Assisted Living
Median · MI$5,818/moNursing Homes
Median · MI$11,254/moOther licensed providers in Shelby Township, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Complete Guide to Assisted Living (2026)
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Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
Read how we handle every file on the data sources page.